- Staffing Solutions Organization (Albany, NY)
- … needs and requirements. + Interpret guidance and instructions related to Medicaid eligibility , enrollment, appeals processes, and notices from a requirements ... in Albany, NY** **Bureau of System Quality Assurance and Business Requirements (SQA) - Eligibility Systems Modernization...for activities related to the implementation of the new eligibility system for New York's Complex Medicaid … more
- CVS Health (Albany, NY)
- …heart, each and every day. **Position Summary** This role supports the Medicaid team, specifically price monitoring and behaviorial health analytics across Aetna's ... Medicaid states. Within this role, you will: * Provide...* Demonstrate an advanced understanding of actuarial concepts and business acumen. * Set own priorities within pre-established overall… more
- NTT DATA North America (Albany, NY)
- …The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative team to establish and execute QA tasks ... now. We are currently seeking a Senior Quality Assurance Analyst to join our team in Albany, New York...of QA processes and procedures to support the Continuing Medicaid Eligibility Modernization initiative + Review processes… more
- Baylor Scott & White Health (Albany, NY)
- …independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...Collaborates across various departments to design and implement any business process and/or systems changes to meet encounter data… more